title: A near-fatal case of sepsis with an antibiotic-resistant organism complicating a routine transrectal prostate biopsy in a health care worker.
abstract: A 58-year-old physician with an elevated prostate specific antigen developed severe septic shock following a repeat transrectal prostate biopsy despite standard preoperative prophylactic protocol. This case highlights the significance of harbouring antibiotic-resistant bacteria and the risk of previous quinolone exposure. We believe this case may herald a rare but potentially serious consequence of increasingly common antibiotic resistance and that high-risk patients should be studied to determine their likelihood of carrying antibiotic-resistant flora in their genitourinary/gastrointestinal tract.
authors.affiliation: Division of Urology, Department of Surgery, University of Toronto, Toronto, Ont., the.
authors.forename: Bryce
authors.initials: B
authors.lastname: Weber
authors.forename: John
authors.initials: J
authors.lastname: Saliken
authors.forename: Taj
authors.initials: T
authors.lastname: Jadavji
authors.forename: Robin R
authors.initials: RR
authors.lastname: Gray
authors.forename: Ron
authors.initials: R
authors.lastname: Moore